scholarly journals Disinclusion of Palatally Impacted Canines with Surgical and Photobiomodulating Action of a Diode Laser: Case Series

2021 ◽  
Vol 11 (11) ◽  
pp. 4869
Author(s):  
Alessandra Impellizzeri ◽  
Martina Horodynski ◽  
Adriana De Stefano ◽  
Elisabetta Guercio-Monaco ◽  
Gaspare Palaia ◽  
...  
Keyword(s):  
Diode Laser ◽  
Surgical Techniques ◽  
Case Series ◽  
Dental Arch ◽  
Impacted Tooth ◽  
Impacted Canines ◽  
Post Surgery ◽  
High Intensity Laser ◽  
Impacted Canine ◽  
Orthodontic Devices

Background: The permanent maxillary canine is the most impacted tooth after third molars. There are many possible surgical techniques to approach impacted canines. The literature reports that high-intensity laser therapies (HILTs) can be used for opercolectomy of an impacted tooth. The aim of this study is to propose a new orthodontic-surgical approach using a laser for the disinclusion of palatally impacted canines. Methods: Nine patients presented maxillary primary canine persistence in the dental arch. Orthopanoramic X-ray and cone beam computed tomography (CBCT) showed the impaction of permanent maxillary canines. Surgical exposure was performed using a diode laser (Raffaello, DMT, Lissone, Italy, 980 nm + 645 nm). No orthodontic devices were applied for impacted tooth traction. Canine movement was monitored at 1, 8, 16 weeks post-surgery with photos and a CS3500 intraoral scanner (Carestream Dental, Atlanta USA) to evaluate their autonomous eruption. Results: No complications were observed. In all the cases, complete disimpaction of the treated canines was obtained in only four months. Conclusions: Impacted canine exposure with a diode laser has many advantages if compared with traditional surgery. The pre-orthodontic exposure and autonomous eruption of impacted canines provided simplified and predictable outcomes. The absence of traction and the reduced time for orthodontic treatment increased compliance during the orthodontic alignment.

scholarly journals Pengambilan Gigi Kaninus dan Gigi Supernumerary yang Terpendam pada Maksila

2016 ◽  
Vol 19 (1) ◽  
pp. 167
Author(s):  
Selviana Wati Fobia ◽  
Bambang Dwi Rahardjo
Keyword(s):  
Third Molar ◽  
Dental Arch ◽  
Supernumerary Tooth ◽  
Impacted Tooth ◽  
Impacted Canines ◽  
Anterior Teeth ◽  
Tooth Impaction ◽  
Minor Surgery ◽  
Impacted Canine ◽  
A Minor

Latar belakang: suatu kasus impaksi gigi dapat menyebabkan maloklusi, dan kelainan oklusi akan semakin bertambah dengan bertambahnya usia. Impaksi gigi kaninus merupakan gigi kedua setelah gigi molar ketiga yang berfrekuensi tinggi untuk mengalami impaksi, persentasenya sekitar 12%-15% dari populasi. Gigi supernumerary adalah gigi tambahan/berlebih, sehingga jumlah gigi yang terbentuk dalam rahang lebih banyak dari jumlah normal. Terjadinya impaksi gigi kaninus dan supernumerary secara bersamaan jarang terjadi. Tujuan: Menambah wawasan du bidang bedah mulut minor, terutama dalam menangani suatu kasus impaksi gigi kaninus dan supernumerary untuk perawatan orthodonti. Kasus dan Penanganan: Dilaporkan seorang apsien, wanita, berusia 38 tahun yang baru menyadari kelainan maloklusinya dengan keluhan gigi depannya bertambah maju akibat adanya impaksi gigi kaninus dan impaksi gigi supernumerary. Pasien dikonsulkan dari Bagian Orthodonti ke Bagian Bedah Mulut untuk penanganan impaksi gigi kaninus dan supernumerary dengan kemungkinan untuk mempertahankan gigi kaninus memulai pembedahan. Dengan berbagai pertimbangan, penderita pada akhirnya menjalani operasi pengambilan gigi kaninus dan gigi supernumerary di Bagian Bedah Mulut RSGM Prof. Soedomo. Langkah-langkah diagnosis, operasi dan berbagai kemungkinan komplikasi juga turut disertakan di dalam pembahasan. Kesimpulan: Pengambilan gigi kaninus dan gigi supernumerary yang terpendam merupakan pilihan perawatan jika tidak memungkinkan untuk dilakukan exposure pada impaksi gigi kaninus pada maksila. Background: Impacted canines is the second most impacted tooth after third molar impaction, approximately 12%-15% of the population present with impacted canines. A supernumerary tooth is one that is additional to the normal series and can be found in almost any region of the dental arch. The incidence of an impacted canines as a sequent with a supernumerary tooth is very rare. Purpose: The aim of this case report is to add more information about a minor surgery due to canine and supernumerary tooth impaction for orthodontic treatment. Case and Management: We reported a case of a woman, 38 years old who have noticed a malocclution through the forwardness movement of her anterior teeth, due to the present of impacted canine and supernumerary. The patient consulted from orthodontic department to oral and maxillofacial department for further assessment, treatment and also the probability for surgical exposure of impacted canine. We have decided to do odontectomy for the impacted canine and supernumerary tooth as well at Oral and Maxillofacial department, Prof. Soedomo Hospital. The diagnosis process, exposure of impacted canine considerations are also discussed. Conclusion: the odontectomy for impacted canine and supernumerary teeth had performed as last options if there is impossible to do an exposure of an impacted canine. 

scholarly journals Uncovering and Autonomous Eruption of Palatally Impacted Canines—A Case Report

2021 ◽  
Vol 9 (6) ◽  
pp. 66
Author(s):  
Alessandra Impellizzeri ◽  
Martina Horodynski ◽  
Emanuela Serritella ◽  
Gaspare Palaia ◽  
Adriana De Stefano ◽  
...  
Keyword(s):  
Case Report ◽  
Co2 Laser ◽  
Orthodontic Treatment ◽  
Dental Arch ◽  
Impacted Canines ◽  
Post Surgery ◽  
Indirect Bonding ◽  
The Family ◽  
Orthodontic Devices ◽  
Cone Beam Computer Tomography

The impaction of permanent maxillary canine is a common clinical occurrence, and it is observed in 2% of patients who require orthodontic treatment. This case report describes a new orthodontic-surgical approach through the use of CO2 laser, for the exposure of the palatally impacted canines. A 13-year-old female referred to our observation to make an orthodontic examination because of the maxillary primary canines’ persistence in upper arch. Orthopanoramic X-ray showed impaction of both permanent maxillary canines. The family history revealed that the patient’s mother had the same orthodontic problem. Cone Beam Computer Tomography (CBCT) was requested to plan the surgical-orthodontic treatment. Surgical exposure of the impacted canines was performed using a CO2 laser and subsequent periodontal pack application. No orthodontic devices were applied for impacted teeth traction on dental arch. Canines’ movement was monitored at 1, 8 and 16 weeks post-surgery with photo and intraoral scanner CS3500 (CS3500®, Carestream Health, Atlanta, GA, USA). When canine crowns were completely erupted on palatal side, the alignment in the arch with indirect bonding technique was performed. Complete disimpaction of canine crowns was obtained in only four months. As reported in the literature, this case confirms that impacted canines’ exposure to CO2 laser has advantages if compared with traditional surgery: no bleeding during and after the procedure, decontaminant effect on the surgical area, no suture, and a fast spontaneous eruption. Conclusions: The pre-orthodontic uncovering and autonomous eruption of palatally impacted maxillary canines provides simplified, predictable, and more aesthetic outcomes. Furthermore, a significant positive factor is that there is no need to carry out the orthodontic traction of the impacted element, undoubtedly better compliance by the patient during the next alignment phase with the fix orthodontic appliance.

scholarly journals Surgical Exposure of Bilateral Palatally Impacted Upper Canines and Its Proper Alignment with Fixed Appliance in the Dental Arch - A Case Report

2013 ◽  
Vol 1 (2) ◽  
pp. 13-15
Author(s):  
HM Rizvi ◽  
HSR Chawdhury ◽  
ML Rahman ◽  
MZ Hossain
Keyword(s):  
Treatment Time ◽  
Treatment Approach ◽  
Dental Arch ◽  
Functional Requirements ◽  
Treatment Alternative ◽  
Impacted Tooth ◽  
Fixed Appliance ◽  
Impacted Canines ◽  
Total Treatment Time ◽  
Total Treatment

A case of impacted upper canines of 18 years is presented. Any deviation from the normal sequence of development leads to the impaction of teeth. Although the best treatment alternative for impacted teeth is extraction, the same cannot be directly applied to canines. Since canines present with a high demand on aesthetic and functional requirements, alignment of impacted canines into the arch is the best treatment approach. In the present case, a fixed appliance mechanotherapy was used to bring the impacted canines into occlusion. Total treatment time was about 18 months. Post-treatment records demonstrated good vitality of the impacted tooth and the adjacent teeth. DOI: http://dx.doi.org/10.3329/bjodfo.v1i2.15985 Ban J Orthod & Dentofac Orthop, April 2011; Vol-1, No.2, 13-15

scholarly journals Canine extrusion with a vertical tube supported cantilever spring

2017 ◽  
Vol 7 ◽  
pp. 49-51
Author(s):  
U. H. Vijayashree ◽  
Vikram Pai
Keyword(s):  
Vertical Tube ◽  
Applied Force ◽  
Dental Arch ◽  
Maxillary Canine ◽  
Impacted Tooth ◽  
Tooth Resorption ◽  
Adjacent Tooth ◽  
Impacted Canine

Maxillary canine is the most frequently impacted tooth in the dental arch and twice common in females than in males. Treatment of impacted maxillary canine can be difficult and time consuming, depending on its position. Improper direction and magnitude of applied force can lead to increased chances of adjacent tooth resorption. This article describes about a simple cantilever spring that can be fabricated at chair side for extrusion of a bucally impacted canine.

scholarly journals A modified dis-impaction spring for impacted canines

2015 ◽  
Vol 5 ◽  
pp. 83-86 ◽  
Author(s):  
Syed Omar Aziz Rizvi ◽  
Arun Nayak ◽  
Vinod Pattabiraman
Keyword(s):  
Side Effects ◽  
Maxillary Canine ◽  
Impacted Tooth ◽  
Impacted Teeth ◽  
Impacted Canines ◽  
Surgical Exposure ◽  
Tooth Impaction ◽  
Impacted Canine

Tooth impaction is the retardation in the eruption pattern of a tooth. One of the most commonly impacted teeth is the maxillary canine. However, impaction of mandibular canines is not as common as maxillary canines. Treatment of such impacted teeth usually involves surgical exposure, followed by bonding of an orthodontic attachment to facilitate extrusive movement of the impacted tooth. However, some side-effects on other teeth can be expected which includes the intrusion and tipping of adjacent teeth. In order to prevent side-effects on the adjacent teeth, we present a modified uprighting spring used to extrude an impacted canine.

scholarly journals Penatalaksanaan impaksi gigi kaninus dengan cara kombinasi pembedahan dan ortodontik Management of impacted canine with combination of surgery and orthodontic

2011 ◽  
Vol 10 (2) ◽  
pp. 89
Author(s):  
Franky Oscar
Keyword(s):  
Surgical Procedure ◽  
Dental Arch ◽  
Class Iii ◽  
Orthodontic Appliance ◽  
Impacted Tooth ◽  
Diagnosis And Management ◽  
Skeletal Malocclusion ◽  
Impacted Canine ◽  
Proper Diagnosis ◽  
Fixed Orthodontic Appliance

Complete tooth eruption, especially canine, will affect facial esthetic and the harmony. Surgical procedure will helpto expose an impacted tooth determining orthodontically into dental arch. Clinical and radiographic examinationshould be taken for locating the position of the tooth. The flap was designed differently between labially or palatallyimpacted canine. A 16 years old female came to clinic with Class III Angle dental and skeletal malocclusion with animpacted of upper left canine. She was treated with fixed orthodontic appliance using edgewise technique andsurgical exposure using closed-eruption technique. The proper diagnosis and management between oral andmaxillofacial surgery, and orthodontics will guarantee good result.

scholarly journals Prosthetic Management of Palatally Placed Maxillary Impacted Canine

2015 ◽  
Vol 5 (2) ◽  
pp. 56-59
Author(s):  
Vaibhao Ishwar Shambharkar ◽  
Shweta Sonare ◽  
Ganesh Bajaj
Keyword(s):  
Symptomatic Treatment ◽  
Dental Arch ◽  
Maxillary Canine ◽  
Impacted Tooth ◽  
Prosthetic Reconstruction ◽  
Impacted Canine ◽  
Treatment Alternatives ◽  
Missing Tooth ◽  
Maxillary Impacted Canine ◽  
Primary Canine

ABSTRACT Treatment of asymptomatic impacted maxillary canines in adults is inevitable when primary canine becomes lost through extraction or exfoliation or when the impacted tooth becomes symptomatic. Treatment alternatives include an orthodontic procedure to bring the unerupted tooth to the dental arch or prosthetic replacement of the missing tooth. This is an alternative treatment that involves simultaneous placement of implants into extraction sockets of the teeth for replacement of maxillary canine. This treatment modality avoids the need for conventional preparation of teeth as part of prosthetic reconstruction or prolonged orthodontic treatment aimed at bringing the impacted canine to the dental arch. How to cite this article Shambharkar VI, Shaikh S, Sonare S, Bajaj G. Prosthetic Management of Palatally Placed Maxillary Impacted Canine. Int J Prosthodont Restor Dent 2015;5(2): 56-59.

scholarly journals VALIDATION OF KPG INDEX “CLASSIFICATION METHOD TO PREDICT ORTHODONTIC TREATMENT DIFFICULTY LEVEL OF IMPACTED CANINES”

2021 ◽  
Vol 71 (3) ◽  
pp. 880-84
Author(s):  
Ayesha Iftikhar ◽  
Tayyaba Jehanzeb
Keyword(s):  
Classification Method ◽  
Difficulty Level ◽  
Impacted Tooth ◽  
Cross Sectional ◽  
Impacted Canines ◽  
Significant Difference ◽  
Impacted Canine ◽  
Males And Females ◽  
Difficulty Index ◽  
The Right

Objective: To determine the position of impacted canine in 3 dimensions and estimate the difficulty of treatment using 3D “KPG index”, a new classification method. Study Design: Cross sectional analytical study. Place and Duration of Study: Orthodontic Department, Rehman College of Dentistry, Peshawar, from Aug to Oct 2020. Methodology: 3D cone beam computed tomography (CBCT) scans of 43 subjects with 47 impacted canines were obtained. Using KPG index, 6 measurements were taken for each impacted tooth in three planes. The scores were later summed up. Based on the cumulative scores, each impaction was classified into the difficulty categories of Easy (0–7), Moderate (8–14), Difficult (15–19), and Extremely Difficult (20+). Comparison of Gender and position of impacted canine with the KPG treatment difficulty index was also performed. Results: Impacted canines were found to be on the left and palatal side with a female predilection. Canines scored with KPG index were mostly in the moderate category. Highest percentage of the impacted canines were in Sector II, followed by sector III and IV. Comparing KPG treatment difficulty index of impacted maxillary canines found on the right and left sides (p=0.087), buccal or palatal (p=0.545), males and females (p=0.279), in-statistically significant difference was found. Conclusion: 3D imaging has allowed us to precisely locate the impacted canine in 3 sagittal, coronal and axial planes. Hence, KPG index dictated our anticipated difficulty of treatment.

scholarly journals Forced-eruption time for palatally impacted canines treated with and without ostectomy-decortication technique

2019 ◽  
Vol 89 (5) ◽  
pp. 697-704 ◽  
Author(s):  
Donald J. Ferguson ◽  
Dalal Al Rossais ◽  
M. Thomas Wilcko ◽  
Laith Makki ◽  
Roelien Stapelberg
Keyword(s):  
Recovery Time ◽  
Control Sample ◽  
Vertical Position ◽  
Dental Arch ◽  
Impacted Canines ◽  
Impacted Canine ◽  
Forced Eruption

ABSTRACT Objectives: To compare forced-eruption times for palatally impacted canines treated with and without the ostectomy-decortication technique and to assess the influence of palatally impacted canine pretreatment position and angle on forced-eruption time. Materials and Methods: The sample was composed of 118 patient-subjects with 151 palatally impacted canines treated with the ostectomy-decortication technique (n = 72) and without (n = 79). The orthopantomogram radiographs (OPGs) were analyzed for palatally impacted canine angle and horizontal and vertical position. Recovery time was measured from the start of forced eruption until the canine was within ±1 mm of final dental arch position. Results: The time of forced canine eruption with ostectomy-decortication technique was significantly shorter than without (6.6 vs 21.0 months). Pretreatment canine position significantly increased forced-eruption time in the ostectomy-decortication group but not in the control sample. Conclusions: Forced-eruption time of palatally impacted canines using the ostectomy-decortication technique was 3.2 times more rapid than without. Forced-eruption time increased significantly as a function of pretreatment palatally impacted canine position severity in the ostectomy-decortication group but not in the control.

scholarly journals Failure of treatment of impacted canines associated with invasive cervical root resorption

2013 ◽  
Vol 83 (5) ◽  
pp. 870-876 ◽  
Author(s):  
Adrian Becker ◽  
Itzhak Abramovitz ◽  
Stella Chaushu
Keyword(s):  
Root Resorption ◽  
Case Series ◽  
Initial Diagnosis ◽  
Etiologic Factor ◽  
Impacted Tooth ◽  
Impacted Canines ◽  
Cause Of Failure ◽  
Potential Damage ◽  
Orthodontic Forces ◽  
Cervical Root

ABSTRACT Objectives: To propose invasive cervical root resorption (ICRR) as an unrecognized and/or overlooked etiologic factor in the failure of response of an impacted tooth to orthodontic traction and to underline the importance of cone beam computerized tomography (CBCT) for early and accurate diagnosis of ICRR. Materials and Methods: Fourteen patients (age 13–21 years) with impacted canines (15 canines) that had failed to respond to orthodontic forces and that exhibited ICRR formed the case series for this investigation. The initial diagnosis, treatment, clinical and radiographic expression of failure, and adverse effects on adjacent teeth were analyzed. Results: Initial diagnosis had been performed on plane radiographs. The orthodontist was absent during surgery in 11 patients. Nine canines had been exposed by open procedures. ICRR was not related to the severity of impaction. Its diagnosis was made on existing radiographs, new films, and/or new CBCT. The severity of the lesions was Class 3 or 4, and the teeth were finally extracted. Loss of anchorage characterized 11 patients. Apical resorption of the roots of adjacent teeth was diagnosed in 9 patients. Conclusions: ICRR is a frequently undiagnosed or unrecognized cause of failure of orthodontic resolution of impacted canines and should be distinguished from replacement resorption. CBCT should be used for its early detection and accurate assessment of potential damage to adjacent anchor teeth.

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